National Provider Identifier (NPI):
1710041793
License Number:
MD00010647
Medical School:
Suny-Hlth Sci Ctr At Syracuse, Coll Of Med, Syracuse Ny 13210, St Lawrence University Ny
Residency Training:
Univ Wa Med Ctr, Urology; Univ Wa Med Ctr, General Surgery; Harborview Med Ctr, Flexible Or Transitional Year